Provider Demographics
NPI:1659652295
Name:H&W ENTERPRISES OF NC
Entity Type:Organization
Organization Name:H&W ENTERPRISES OF NC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-721-4262
Mailing Address - Street 1:1001 S MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-5852
Mailing Address - Country:US
Mailing Address - Phone:336-721-4262
Mailing Address - Fax:336-721-4263
Practice Address - Street 1:1024 WELTON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-3342
Practice Address - Country:US
Practice Address - Phone:804-230-4816
Practice Address - Fax:804-230-4816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health